Uso das escalas ADLS-KOS e IKDC como critérios de alta no pós operatório de reconstrução de ligamento cruzado anterior

Abstract

In the postoperative period following anterior cruciate ligament (ACL) reconstruction, physiotherapy is fundamental for functional recovery, and the use of reliable instruments to aid in decision-making regarding therapeutic discharge is essential. This study aimed to analyze the correlation between the International Knee Documentation Committee (IKDC) and Knee Outcome Survey – Activities of Daily Living Scale (ADLS KOS) scales in patients in the postoperative period of ACL reconstruction as a criterion for physiotherapy discharge. This is an observational study, with a cross-sectional design and quantitative approach, conducted with 22 individuals in the postoperative period of ACL reconstruction between 3 and 8 months at a Physiotherapy Teaching Clinic in São Luís-MA. The main findings demonstrate that patients presented a mean score of 71.3±12.2 points on the IKDC and 58.2±6.52 points on the ADLS-KOS, indicating moderate to good knee function even in the average period of 4.91±1.34 months post-surgery. A strong positive correlation was identified between the IKDC and ADLS-KOS (ρ=0.718; p<0.001), showing that both assess similar functional aspects. A very strong correlation was also observed between postoperative time and the IKDC (ρ=0.914; p<0.001) and a moderate to strong correlation with the ADLS-KOS (ρ=0.660; p<0.001), indicating that functional evolution is associated with rehabilitation time, confirmed in the scores of participants who were discharged from physiotherapy (6.80±0.44; p=<0.001) when compared to those who were not (4.35±0.93; p=<0.001). It is concluded that the IKDC and ADLS-KOS scales are valid, complementary, and clinically relevant instruments, contributing to an efficient, individualized, and evidence based assessment in the decision-making process for physiotherapy discharge.